ALICE SHEN (Credential# 1517592) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is June 11, 2018. The license expiration date date is June 30, 2022. The license status is ACTIVE.
ALICE SHEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.061111-RES. The credential type is resident physician. The effective date is June 11, 2018. The expiration date is June 30, 2022. The business address is 300 George St Ste 901, New Haven, CT 06511-6662. The current status is active.
| Licensee Name | ALICE SHEN |
| Credential ID | 1517592 |
| Credential Number | 1.061111-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
300 George St Ste 901 New Haven CT 06511-6662 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-06-11 |
| Effective Date | 2018-06-11 |
| Expiration Date | 2022-06-30 |
| Refresh Date | 2018-05-24 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1524626 | CSP.0068732 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2018-06-18 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 2035592 | 1 | Physician/Surgeon | - | PENDING | |
| 1524624 | CSP.0068731 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | - | INACTIVE |
| Street Address | 300 GEORGE ST STE 901 |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06511-6662 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sarah Abdallah | 300 George St Ste 901, New Haven, CT 06511-6662 | Resident Physician | 2020-06-15 ~ 2025-06-30 |
| Samuel Sondalle | 300 George St Ste 901, New Haven, CT 06511-6662 | Resident Physician | 2020-06-15 ~ 2025-06-30 |
| Sandhira Wijayaratne | 300 George St Ste 901, New Haven, CT 06511-6662 | Resident Physician | 2020-06-11 ~ 2024-06-30 |
| Dervin Cunningham | 300 George St Ste 901, New Haven, CT 06511-6662 | Resident Physician | 2020-06-11 ~ 2024-06-30 |
| Ashley Moreno | 300 George St Ste 901, New Haven, CT 06511-6662 | Resident Physician | 2020-06-11 ~ 2024-06-30 |
| Eliza Decroce-movson | 300 George St Ste 901, New Haven, CT 06511-6662 | Resident Physician | 2020-06-11 ~ 2024-06-30 |
| Patricia Ekwueme | 300 George St Ste 901, New Haven, CT 06511-6662 | Resident Physician | 2020-06-11 ~ 2024-06-30 |
| Bradford Martins | 300 George St Ste 901, New Haven, CT 06511-6662 | Resident Physician | 2020-06-11 ~ 2024-06-30 |
| Eli Neustadter | 300 George St Ste 901, New Haven, CT 06511-6662 | Resident Physician | 2020-06-11 ~ 2024-06-30 |
| Stephanie Wu | 300 George St Ste 901, New Haven, CT 06511-6662 | Resident Physician | 2020-06-11 ~ 2024-06-30 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rachel L Wurmser | 300 George St Ste 901 Rm 21, New Haven, CT 06511-6662 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Ebony Dix | 1450 Chapel Street, New Haven, CT 06511-6662 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Luming Li | 184 Liberty St, New Haven, CT 06511-6662 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Ish P Bhalla | 300 George St Ste 901 Rm 21, New Haven, CT 06511-6662 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Montessori School On Edgewood Inc. | 230 Edgewood Avenue, New Haven, CT 06511 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Therese Parks · Visel Drug Store | 264 Munson St, New Haven, CT 06511 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Dazjia Monet Green | 115 Edgewood Ave Apt 64, New Haven, CT 06511 | Registered Nurse | 2020-06-27 ~ 2021-05-31 |
| Carol Yam | 343 Humphrey St, New Haven, CT 06511 | Registered Nurse | ~ |
| Marwan S Haddad | 38 Lincoln Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Mary Lou Gaeta Md | 558 Chapel Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Cary M Tucker | 64 Bishop St, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Frank J Pannenborg | 505 Ellsworth Ave, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Crystal E Gooding | 26 Woodland Street, New Haven, CT 06511 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Kieran Jones | 260 Crown St Unit 1f, New Haven, CT 06511 | Registered Nurse | ~ |
| Find all Licenses in zip 06511 | |||
| City | NEW HAVEN |
| Zip Code | 06511 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Miles Shen | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-06-11 ~ 2021-06-30 |
| Erica Shen Nofziger | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2020-07-01 ~ 2027-06-30 |
| Alice Shea | 56 Franklin St, Waterbury, CT 06706-1253 | Resident Physician | 2014-07-01 ~ 2018-06-30 |
| Alice Li | 333 Cedar Street, New Haven, CT 06520 | Resident Physician | 2015-07-14 ~ 2020-06-30 |
| Shen Zhen Aok Tooling Co Ltd | No 3 of Long Tian No 3 Rd, Ping Shan New Dist, Shen Zhen, CH 518118 | Manufacturer of Bedding & Upholstered Furniture | 2020-05-01 ~ 2021-04-30 |
| Wk Weiguan (shen Zhen) | Fu Min Village Guan Lan Town, Shen Zhen | Manufacturer of Bedding & Upholstered Furniture | 2014-05-01 ~ 2015-04-30 |
| Bang De Lu Toys Co Ltd (shen Zhen) | 2 Block Xin Weizai Village, Longgang Shen Zhen | Manufacturer of Bedding & Upholstered Furniture | 2006-08-28 ~ 2007-04-30 |
| Fu Sheng Da Furniture (shen Zhen) Co Ltd | 1 Bldg 2nd Industrial Zone Yan Chuan, Shen Zhen Guang Dong, 518105 | Manufacturer of Bedding & Upholstered Furniture | 2007-05-01 ~ 2008-04-30 |
| Wei Guan (shen Zhen) Proucts Co Ltd | Fu Min Village Guan Lan Town, Bao An Shen Zhen | Manufacturer of Bedding & Upholstered Furniture | 2013-09-27 ~ 2014-04-30 |
| Rebecca E Shen · Becca Shen's Day Care | 31 Valley Brook Road, Rocky Hill, CT 06067 | Family Child Care Home | 2010-08-10 ~ 2014-08-31 |
Please comment or provide details below to improve the information on ALICE SHEN.
| Data Provider | Connecticut Department of Consumer Protection |
| Jurisdiction | Connecticut |
| Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).